Jonesborough Eye Clinic, PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2691 Issued in TN

Legal business name

JONESBOROUGH EYE CLINIC, PLLC

Practice address

395 Forest Cir
Unit 120
Jonesborough, TN 37659-1439

Phone

(423) 753-7760

Fax

(423) 753-7466

NPI assigned

Oct 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristen Brooke Pumphrey, O.D.NPI 1255446076

Title

Owner/Optometrist

Phone

(423) 753-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Pumphrey, OD

  • Corneal and Contact Management Optometrist
  • Jonesborough, TN
  • NPI 1255446076
  Medicare reassignment Care Compare group NPD Authorized official
• Carissa Chambers, O.D.

  • Optometrist
  • Jonesborough, TN
  • NPI 1558721902
  Medicare reassignment Care Compare group NPD
• Ben Deal Parrish, O.D.

  • Optometrist
  • Mountain City, TN
  • NPI 1740303098
  NPD (past)
• Patrick Daniel Shorter, O.D.

  • Optometrist
  • Dover Afb, DE
  • NPI 1962438705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1861728263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "UNIT 120",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591439",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 FOREST CIR",
            "address_2": "UNIT 120",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591439",
            "telephone_number": "423-753-7760",
            "fax_number": "423-753-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBOROUGH EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "423-753-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION C",
            "identifier": "6363950001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Page Jackson, OTR/L
• Michael E Jewett, M.D.
• Katlynn Lee Johnson, IBCLC
• Jonesborough Adult & Geriatric Medicine LLC
• Jonesborough Drug
• Jonesborough Medical PLLC
• K-VA-T Food Stores Inc
• William E. Kennedy, M.D.
• Marissa Kirchenbauer, FNP-C
• Jeanna Lee Kovac, LICSW

• Corneal and Contact Management Optometrist in Jonesborough, TN
• Providers in Jonesborough, TN by specialty
• Corneal and Contact Management Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.